Membership update form 2017x

Institute Of People Management Of Zimbabwe IPMZ MEMBER DETAIL UPDATE FORM FOR 2017 Membership Number :_________________...

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Institute Of People Management Of Zimbabwe

IPMZ MEMBER DETAIL UPDATE FORM FOR 2017 Membership Number :_______________________________

Visit :15 Argyle Road, Avondale Harare Post : P.O. Box 10336, Harare Phone : 700712/14/20 E-mail: [email protected]; [email protected] Website : www.ipmz.org.zw

Surname : _________________________________________ Forenames in Full :___________________________________ Organisation : _______________________________________ Job Title : __________________________________________

PRIMARY MEMBERSHIP SUBSCRIPTION INVOICE

Postal Address : _____________________________________

The annual subscription shall be payable in advance on 1st January each year And shall apply to all grades of membership.

D.O.B______________________I.D__________________________

NON PAYMENT OF SUBS BY DUE DATES WILL RESULT IN AUTOMATIC MEMBERSHIP CANCELLATION ANNUAL SUBSCRIPTION Student Affiliate Members: USD 85 Associate Full Members : Corporate Member

Member Fellow Gold Class Silver Class

E-mail Address :_____________________________________

USD 125

Contact Telephone Number : ___________________________

USD 500 USD 300

Cell Phone Number : _________________________________ Date :____________________ Signature :________________

F CAACCOUNTS BANK STANBIC

BRANCH PARKLANE

ACCOUNT NUMBERS 9140001685049 USD

CBZ

AVONDALE

66161279330015

OR ECOCASH

BILLER CODE

Membership of a professional Institute should be viewed as a career-long commitment. Your annual subscription enables the Institute, which is a not-for-profit organisation, to employ staff and continue to provide you with services and information on professional matters.

USD

72146

Subscription is tax deductible. Please retain your receipt for this purpose.

POS MACHINE available at National Office for all payments!!!! If you plan to write examinations in April 2017, your subscription must be paidby 31 January 2017 - otherwise your examination application will be rejected. Update Form Please complete the update section on the right sideof this form and send it, with your payment so that we have accurate up-to-date information about you on record.

THE VALUE OF MEMBERSHIP IS PRICELESS